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J Am Coll Radiol. 2008 Oct;5(10):1036-40. doi: 10.1016/j.jacr.2008.06.002.

Presidential address: distinction or extinction.

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Cedars-Sinai Medical Center, Imaging Department, Los Angeles, CA 90048-1869, USA.


Despite its continuing scientific successes in imaging, radiology as a specialty is faced with a very difficult and competitive environment. Nonradiologists are more and more interested in vertically integrating imaging into their practices, while teleradiology and picture archiving and communication systems are resulting in the greater isolation of radiologists. Commoditization is a realistic and devastating threat to the survival and professionalism of the specialty. To remain viable as a specialty, radiologists must elevate their practice by subspecializing, becoming more involved with clinical care, and actively interacting with patients and referring clinicians. Distinction will prevent extinction.

[Indexed for MEDLINE]

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